NPI: 1891919338 · EAST HARTFORD, CT 06108 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,518 | $262K |
| 2019 | 12,463 | $284K |
| 2020 | 9,788 | $218K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 5,468 | 5,099 | $187K | |
| 92014 | 3,853 | 3,600 | $171K | |
| V2020 | Vision svcs frames purchases | 3,707 | 3,457 | $103K |
| S0580 | Polycarb lens | 3,654 | 3,410 | $100K |
| 92340 | 3,361 | 3,124 | $68K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,987 | 1,821 | $55K |
| 92004 | 896 | 834 | $53K | |
| 99213 | 637 | 552 | $19K | |
| V2100 | Lens spher single plano 4.00 | 341 | 315 | $7K |
| 92250 | 46 | 37 | $1K | |
| 92341 | 26 | 25 | $612.75 | |
| 1036F | 4,734 | 4,341 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 5,059 | 4,654 | $0.00 |